Organization Active NPI

Wilken Chiropractic Centre, LTD

  • Chiropractor
  • Highland, IL
National Provider Identifier
1346378676
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WILKEN CHIROPRACTIC CENTRE, LTD
Practice address
1008 Walnut Street
Highland, IL 62249
Phone
(618) 654-3000
Fax
(618) 654-1567
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brad Paul Wilken, DC
Title
Doctor of Chiprpractic
Phone
(618) 654-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MO Primary

Addresses

Primary practice location

1008 Walnut Street
Highland, IL 62249

Mailing address

1008 Walnut St
Highland, IL 62249-1542
Phone (618) 654-3000

National Provider Directory

National Provider Directory

Locations

1008 Walnut St
Highland, IL 62249
Phone (618) 654-3000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346378676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 WALNUT ST",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491542",
            "telephone_number": "618-654-3000",
            "fax_number": "618-654-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 WALNUT STREET",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "62249",
            "telephone_number": "618-654-3000",
            "fax_number": "618-654-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKEN CHIROPRACTIC CENTRE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILKEN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DOCTOR OF CHIPRPRACTIC",
        "authorized_official_telephone_number": "618-654-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.